The Comparison of Diagnostic Significance of Narrow Band Imaging in Contrast of White Light Endoscopy in the Assessment of Nasopharyngeal Cancer

Paudel Sharad,Kharbuja Naresh,Wu Cao,Ghimire Pratiksha,Zhichun Huang,Xin Yang

doi:10.4236/jct.2020.113014

Abstract

Background: Narrow band imaging (NBI) is reported to improve the diagnostic importance of nasopharyngeal cancer. The purpose of this review was to evaluate the diagnostic significance of NBI in the literature and compare it to the conventional white light endoscopy. The use of narrow band imaging (NBI) and further technological achievements concerning the resolution and magnification of endoscopic images have in the past 15 years. With the use of NBI, superficial mucosal lesions, which may be missed by standard WLI endoscopy, can be identified easily by their neoangiogenic pattern. Objective: To assess diagnostic value of the narrow band imaging and white light endoscopy in nasopharyngeal carcinoma and compare diagnostic values (sensitivity, specificity, positive predictive value and negative predictive value) with white light endoscopy. Search Methods: From 2010 to 2020, data was searched from electronic databases such as PubMed, web of science. We used narrow band imaging as a key word accordance with diagnostic modalities such as sensitivity, specificity, PPV and NPV and data were collected. Results: We have found mainly 6 studies have discussed about diagnostic value of endoscopy in nasopharyngeal carcinoma in the total of 2746 suspected patients. Among them, 5 studies have compared diagnostic values such as sensitivity, specificity, positive predictive value and negative predictive value between NBI and WLE. Among 5 studies, 4 studies have found higher sensitivity in NBI, 2 studies found higher 1 equal to WLE specificity in NBI. 3 studies have compared PPV and NPV between NBI and WLE. Among them, all the studies found higher PPV and NPV in NBI than WLE. Conclusion: Recently developed narrow band imaging has a great significance in the diagnosis of nasopharyngeal carcinoma. Although NBI has also encountered some problem such as contact bleeding and darker image. So, further evaluation should be done.

Highlights

Nasopharyngeal carcinoma (NPC) is a tumor common in Southeast Asia
We have found mainly 6 studies have discussed about diagnostic value of endoscopy in nasopharyngeal carcinoma in the total of 2746 suspected patients
Many authors believe that the sensitivity of traditional white light endoscopy is not sufficient to screen for superficial cancers or precancerous lesions of nasopharyngeal carcinoma (Table 1)

Summary

Introduction

Nasopharyngeal carcinoma (NPC) is a tumor common in Southeast Asia. The region with the highest incidence is southern China, with 25/100,000 people in Guangzhou and Taiwan every year. New endoscopic method is developed color spectrum of tumor surface to visualize tumor microvascular patterns called image enhanced endoscopy [4] [5] It uses optical and/or electronic methods, such as narrow-band imaging (NBI), auto fluorescence imaging (AFI), i-scans, flexible spectral imaging color enhancement (FICE), confocal laser endo microscopy (CLE) and I scan Optical Enhancement (OE) endoscopy. Objective: To assess diagnostic value of the narrow band imaging and white light endoscopy in nasopharyngeal carcinoma and compare diagnostic values (sensitivity, specificity, positive predictive value and negative predictive value) with white light endoscopy. 5 studies have compared diagnostic values such as sensitivity, specificity, positive predictive value and negative predictive value between NBI and WLE.

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Conclusion